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BOONEVILLE COMMUNITY PHARMACY
CH04910E NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
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Covered Entity Details
Entity Name
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC.
Subdivision Name
New Albany Health Care Associates
Type
HRSA-Funded Health Center
340B ID
CH04910E
Entity Address
488 W Bankhead St
New Albany, MS 38652-3115
Grant Number
H80CS00635
Participating Start Date
1/1/2017
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
BOONEVILLE COMMUNITY PHARMACY
Pharmacy Address
206 N 2ND ST
BOONEVILLE, MS 38829-2702
Pharmacy Comments
Contract Details
Approval Date
10/16/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Bill Stone, CEO
(662) 502-3149
Contract Pharmacy Representative
Booneville
Tony Smith, Owner/Pharmacist
(662) 728-1951
Signed By Date
10/16/2023
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